Folliculitis: Symptoms, Treatment, and Recovery Time - Surgery

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Folliculitis


Hello Doctor: Last Saturday, the area under my right arm suddenly swelled up, and I feel a sharp pain when I don't press on it, which gets worse when I do.
After seeing a doctor, I was diagnosed with folliculitis and advised to apply ice and take medication, which should help.
However, even now, it still feels swollen.
Is it normal for it to take longer to heal, or is there a possibility of pus forming? How can I tell if that is the case? I'm concerned, so I would appreciate your guidance.
Thank you.

Xiao Mama, 20~29 year old female. Ask Date: 2006/03/29

Dr. Lai Jihong reply Surgery


Folliculitis is generally caused by a bacterial infection, and in the early stages, it may present with redness, swelling, and pain.
If the condition is not severe (referring to a small area and superficial involvement), topical ointments (such as Bacitracin or Neomycin ointment) can be applied to alleviate the symptoms.
If the condition is somewhat more severe, oral antibiotics may be used in combination for treatment.
However, if symptoms persist without improvement and develop into pustules, surgical intervention (incision and drainage along with dressing changes) may be necessary.
It is advisable to consult a general surgeon for further examination and treatment if the condition is severe.
Wishing you good health!

Reply Date: 2006/03/29

More Info


Folliculitis is an inflammation of the hair follicles, often caused by bacterial infection, irritation, or blockage. It can manifest as red, swollen bumps that may be itchy or painful. In your case, the sudden swelling and pain in your right hand's armpit area suggest that you are experiencing a localized form of folliculitis, which can occur due to various factors, including friction, moisture, or even shaving.


Symptoms of Folliculitis
The symptoms you are experiencing—swelling, tenderness, and pain—are typical of folliculitis. The affected area may appear red and inflamed, and you might notice small pus-filled blisters or crusts. In some cases, folliculitis can be itchy, and the discomfort may increase when pressure is applied to the area.


Treatment
Your doctor’s recommendation of ice packs and medication is a standard approach to managing folliculitis. Ice packs can help reduce swelling and numb the area, providing temporary relief from pain. Medications may include antibiotics if a bacterial infection is suspected, or topical treatments to reduce inflammation and promote healing.


Recovery Time
Recovery time for folliculitis can vary depending on the severity of the condition and the underlying cause. In mild cases, symptoms may resolve within a few days to a week with appropriate treatment. However, if the inflammation is more severe or if there is a secondary infection, it may take longer to heal. If you are still experiencing swelling and discomfort after a week, it is advisable to follow up with your healthcare provider. They may want to reassess the area to ensure that there is no abscess formation or other complications.


Potential Complications
If folliculitis is left untreated or if it worsens, it can lead to complications such as the formation of a boil (furuncle) or an abscess, which is a collection of pus that can be painful and may require drainage. Signs that you may be developing an abscess include increased redness, warmth, swelling, and the presence of pus. If you notice any of these symptoms, it is crucial to seek medical attention promptly.


Conclusion
In summary, folliculitis can be uncomfortable, but with proper care, it often resolves without significant complications. Continue to follow your doctor's advice regarding ice application and medication. If your symptoms persist or worsen, do not hesitate to reach out to your healthcare provider for further evaluation and treatment. Keeping the area clean and avoiding irritants can also help speed up the healing process. Always remember that your health is paramount, and addressing concerns early can prevent more serious issues down the line.

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